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Lipid Profile & Metabolic Health Some research reports improved lipid balance (e.g., triglyceride reduction) in preclinical studies. Possible improvements in basal metabolic rate have also been noted

Symptom improvement rates Overall, 64.6% of respondents reported improvement in at least one endometriosis-related symptom

They may arrange blood tests to evaluate: Inflammatory markers (ESR, CRP) to detect active inflammation Rheumatoid factor and anti-CCP antibodies if inflammatory arthritis is suspected Full blood count to assess haematological response to B12 treatment Thyroid function tests , as thyroid disorders commonly coexist with B12 deficiency Note that serum B12 levels are not typically measured to assess treatment adequacy once replacement therapy has begun, as they may not reliably reflect tissue stores

Vitamin B12 may also play an important role in bone health, as studies have shown that low blood levels of B12 can be associated with an increased risk of osteoporosis in women